We all get tired from time to time, but if it is persisting then you might find a clue here as to what is behind it.

Any long term fatigue or sleep issues need to be referred to your doctor for investigation.

Cause No. 1: Not enough sleep

It may seem obvious but you could be getting too little sleep. That can negatively affect your concentration and health. Adults should get seven to eight hours every night.

Help: Make sleep a priority and keep a regular schedule. Ban laptops, cell phones, and televisions from your bedroom. Still having trouble then consult your doctor to eliminate if you have a sleep disorder.

Some people think they’re sleeping enough, but sleep apnoea gets in the way. It briefly stops your breathing throughout the night. Each interruption wakes you for a moment, but you may not be aware of it.

The result: you’re sleep-deprived despite spending eight hours in bed. Your doctor may order a sleep study to check for this.

Help: Lose weight if you’re overweight, quit smoking, and you may need a CPAP device to help keep your airway passages open while you sleep.

Cause No. 3: Not enough benefits from your diet

Eating too little causes fatigue, but eating the wrong foods can also be a problem. Eating a balanced diet helps keep your blood sugar in a normal range and prevents that sluggish feeling when your blood sugar drops.

Help: Always eat breakfast and try to include protein and complex carbohydrates in every meal. For example, eat eggs with whole-grain toast. Also eat small meals and snacks throughout the day for sustained energy.

Cause No. 4: Anaemia

This can be one of the leading causes of fatigue in women. Menstrual blood loss can cause an iron deficiency, putting women at risk. Red blood cells are needed because they carry oxygen to your tissues and organs.

It is also an issue at menopause if you do not have an iron-rich diet.

Help: For anaemia caused by an iron deficiency eating iron-rich foods, such as lean meat, liver, shellfish, beans, and enriched cereal, can help.

If you need a supplement then look for a liquid form as some types of iron can be hard to absorb.

Cause No. 5: Depression

You may think of depression as an emotional disorder, but it contributes to many physical symptoms, as well. Fatigue, headaches, and loss of appetite are among the most common symptoms.

If you feel tired and “down” for more than a few weeks, see your doctor.

Help: Depression responds well to talk therapy and a combined progesterone and oestrogen hormone cream can also be effective.

The thyroid controls your metabolism, that is the speed at which your body converts fuel into energy. When the gland is underactive and the metabolism functions too slowly, you may feel sluggish and put on weight.

Help: If a blood test confirms your thyroid hormones are low, then your doctor may prescribe a drug like Thyroxine but bioidentical progesterone can also help.

Caffeine can improve alertness and concentration in moderate doses. But too much can increase heart rate, blood pressure, and jitteriness. And research indicates too much actually causes fatigue in some people.

Help: Gradually cut back on coffee, tea, chocolate, soft drinks, and any medications that contain caffeine. Stopping suddenly can cause caffeine withdrawal and more fatigue.

If you’ve ever had a urinary tract infection (UTI), you’re probably familiar with the burning pain and sense of urgency. But the infection does not always announce itself with such obvious symptoms.

In some cases, fatigue may be the only sign. A urine test can quickly confirm a UTI.

Help: Antibiotics may be necessary if severe, but first try paracetamol and place a hot water bottle on your tummy, back or between your thighs. Drinking unsweetened cranberry juice is one of the most well-known natural remedies for urinary tract infections. Cranberries work by preventing bacteria from adhering to the urinary tract, thus preventing infection.

In people with diabetes, abnormally high levels of sugar remain in the bloodstream instead of entering the body’s cells, where it would be converted into energy. The result is a body that runs out of steam despite having enough to eat.

If you have persistent, unexplained fatigue, ask your doctor about being tested for diabetes.

Help: Treatments for diabetes may include lifestyle changes such as diet and exercise, insulin therapy, and medications to help the body process sugar.

Your fatigue can be a sign of dehydration. Your body needs water to work well and keep cool. If you’re thirsty, you’re already dehydrated.

Help: Drink water throughout the day so your urine is light coloured, the darker it is the more you need to drink. Keep a water bottle with or near you and take regular drinks. Have at least two cups of water an hour or more before a planned physical activity and afterwards drink another two cups.

Some doctors believe hidden food allergies can make you sleepy. If your fatigue intensifies after meals, you could have a mild intolerance to something you’re eating — not enough to cause itching or a specific reaction, just enough to make you tired.

Help: Try eliminating foods one at a time to see if your fatigue improves. You can also ask your doctor about a food allergy test.

Cause No. 14: CFS and Fibromyalgia

If your fatigue lasts more than six months and is so severe that you can’t manage your daily activities, chronic fatigue syndrome or fibromyalgia are a possibility.

Both can have various symptoms, but persistent, unexplained exhaustion is a main one.

Help: While there’s no quick fix for CFS or fibromyalgia, patients often benefit from changing their daily schedule, learning better sleep habits, and starting a gentle exercise program.

Helpful information:

As we have seen fatigue can have many causes but certainly sleep and thyroid issues are up there so if that is the case for you, look at if bioidentical progesterone could help.

If you have mild fatigue that isn’t linked to any medical condition, the solution may be exercise. Research suggests healthy but tired adults can get a significant energy boost from a modest workout programme.

In one study, participants rode a stationary bike for 20 minutes at a mild pace. Doing this just three times a week was enough to fight fatigue.

Helpful information:

Tiredness can have many causes, so do speak to your doctor if concerned. Low progesterone levels can also be a contributory factor so check if you have signs oestrogen dominance.